Modified endoscopic retrograde appendicitis therapy for appendicitis with intussusception in children: a primary study (with video)
10.3760/cma.j.cn321463-20201021-00615
- VernacularTitle:改良式内镜下逆行阑尾炎治疗术在儿童阑尾炎合并肠套叠的初探（含视频）
- Author:
Jianqin KANG
1
;
Wei ZHANG
;
Chongkang HU
;
Yan LIN
;
Junqing WU
;
Yupin LI
;
Ye LI
;
Xiangzeng LIU
;
Baoxi WANG
;
Lingchao ZENG
;
Xun JIANG
Author Information
1. 空军军医大学唐都医院儿科，西安 710038
- Keywords:
Appendicitis;
Intussusception;
Child;
Endoscopic retrograde appendicitis therapy
- From:
Chinese Journal of Digestive Endoscopy
2022;39(3):231-234
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the efficacy and safety of modified endoscopic retrograde appendicitis therapy (ERAT) in children with acute uncomplicated appendicitis complicated with intussusception. Data of 6 patients with acute uncomplicated appendicitis complicated with intussusception who received modified ERAT were collected from October 2018 to February 2020 in Pediatrics Department of Tangdu Hospital. The reduction rate of intussusception, the success rate of ERAT appendiceal intubation and endoscopic treatment, the remission time of clinical symptoms, the time of white blood cells return to normal, the length of hospital stay, complications and recurrence were summarized. All the 6 patients were confirmed to be acute uncomplicated appendicitis combined with ileocecal intussusceptions under colonoscopy. Endoscopic intussusception reduction and ERAT were performed successfully. The mean time of disappearance of abdominal tenderness was 1.3 days after the therapy, and the time of white blood cells return to normal was 1 day after surgery. The endoscopic treatment were all successful and the length of hospital stay was 3-6 days. No complications or recurrence of intussusception and appendicitis occurred during the follow-up period of 6-12 months. Modified ERAT can effectively, safely and minimally invitingly treat acute uncomplicated appendicitis with intussusception in children on the basis of definite diagnosis.
